Rabinovitch A, Fuller L, Mintz D, Severyn W, Noel J, Flaa C, Kyriakides G, Miller J
J Clin Invest. 1981 May;67(5):1507-16. doi: 10.1172/jci110181.
Because successful allotransplantation of islets of Langerhans isolated by collagenase digestion has been difficult in many animal species, we asked whether isolated islet preparations might have tissue specific determinants conferring amplified immunogenicity in vitro. Lymphocyte proliferative responses ([(3)H]thymidine uptake) were studied in beagle dogs in mixed culture combinations of lymphocyte vs. lymphocyte (MLC) and lymphocyte vs. islet (MLIC). In five MLC responder and five nonresponder pairs, peripheral blood lymphocytes of dogs A and B were used as responding cells, and dog B x-irradiated lymphocytes (Bx), x-irradiated (or nonirradiated) islets (BI), or hepatic cells (BH) were used as stimulating cells in primary and secondary reactions. For the secondary reactions, A + Bx, A + BI, or B + BI were incubated for 9 d (A'B, A'BI, B'BI, respectively) before addition of new stimulating cells. The results showed that islets were autostimulatory, eliciting a tissue-specific lymphoproliferative response in a primary MLIC. Thus, B + BI reactivity was evident at 3,5, and 7 d in primary culture, whereas collagenase-digested liver cells, or lymphocytes obtained from collagenase-digested lymph nodes did not stimulate autologous lymphocytes. A separate reactivity was observed in the allogeneic A + BI combination in MLC responder pairs, and the peak response of A + BI at 9 d was markedly greater than that of B + BI, suggesting the presence of major histocompatibility complex lymphocyte-defined locus determinants in the islet preparations, in addition to islet-specific determinants. A secondary reaction was observed if lymphocytes were primed with islets and challenged with islets (A'BI + BI or B'BI + BI), but not if they were challenged with lymphocytes (A'BI + Bx, B'BI + Bx) or hepatic cells (A'BI + BH, B'BI + AH). Furthermore, priming of lymphocytes with autologous islets (B'BI) led to exclusion of any reactivity against allogeneic lymphocytes, i.e., B'BI suppressed A + Bx, and B'BI also markedly suppressed phytohemagglutinin-stimulated lymphoproliferative responses. Experiments were performed that excluded the possibility that the insulin levels present in the MLIC, the presence of passenger lymphocytes in the islets, or the maintenance of islets in tissue culture for 1-7 d affected the observations. These results provide evidence for the existence of alloantigens as well as tissue-specific antigens on collagenase-isolated islets of Langerhans.
由于通过胶原酶消化分离的胰岛在许多动物物种中进行成功的同种异体移植一直很困难,我们想知道分离的胰岛制剂是否可能具有在体外赋予增强免疫原性的组织特异性决定簇。在比格犬中,研究了淋巴细胞与淋巴细胞(MLC)以及淋巴细胞与胰岛(MLIC)混合培养组合中的淋巴细胞增殖反应([³H]胸腺嘧啶核苷摄取)。在五对MLC反应者和五对非反应者中,将犬A和犬B的外周血淋巴细胞用作反应细胞,将犬B经X射线照射的淋巴细胞(Bx)、经X射线照射(或未照射)的胰岛(BI)或肝细胞(BH)用作初次和二次反应中的刺激细胞。对于二次反应,在添加新的刺激细胞之前,将A + Bx、A + BI或B + BI孵育9天(分别为A'B、A'BI、B'BI)。结果表明,胰岛具有自身刺激作用,在初次MLIC中引发组织特异性淋巴细胞增殖反应。因此,在原代培养的第3、5和7天,B + BI反应明显,而胶原酶消化的肝细胞或从胶原酶消化的淋巴结获得的淋巴细胞不会刺激自体淋巴细胞。在MLC反应者对的同种异体A + BI组合中观察到单独的反应性,并且A + BI在第9天的峰值反应明显大于B + BI,这表明除了胰岛特异性决定簇外,胰岛制剂中还存在主要组织相容性复合体淋巴细胞定义的位点决定簇。如果淋巴细胞用胰岛致敏并用胰岛攻击(A'BI + BI或B'BI + BI),则会观察到二次反应,但如果用淋巴细胞(A'BI + Bx,B'BI + Bx)或肝细胞(A'BI + BH,B'BI + AH)攻击则不会。此外,用自体胰岛(B'BI)致敏淋巴细胞会导致排除对同种异体淋巴细胞的任何反应性,即B'BI抑制A + Bx,并且B'BI也显著抑制植物血凝素刺激的淋巴细胞增殖反应。进行的实验排除了MLIC中存在的胰岛素水平、胰岛中过客淋巴细胞的存在或胰岛在组织培养中维持1 - 7天影响观察结果的可能性。这些结果为胶原酶分离的胰岛上存在同种异体抗原以及组织特异性抗原提供了证据。